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Home My WebLink About984 DENVER DR - Building PermitsL � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.�{�LDING PERMIT 77 FAIR DRIVE, GOSTA MESA, CA 92626 JobAddress: 984 DENVERDR Suite: Viciniry: Parcel Number: 41808123 Applicant: HARTMAN, HEIDI Address: 2628 NEWPORT BL COSTA MESA, CA Owner: POWERS, MARK Address 984 DENVER DR � COSTA MESA, CA Contractor: PE7RONELLA ROOFING Address: 2626 NEWPORT BL COSTA MESA, CA Zip: 92627 Arch : Address: Zoning: Phone: (949)548-1645 Zip: 92627 Phone: Zip: 92626 Phone: (949) 548-1645 License: 460707 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 12I15I2003 Issued: 12/15/2003 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING SHINGLES, REPAIR AND REPLACE SHEATHING AS NEEDED, ONE LAYER OF FELT AND COVER WITH CLASS A SHINGLES. . Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $97.25 $0.50 $0.00 $0.00 $0.00 $97.75 SETBACKS MAINSTRUCTURE Front 0-0 Rear 0-0 ACCESSORY Front 0-0 Rear 0-0 PARKING Existing: o Required: o FEE SUMMARY PLANNING & ZONING LeR 0- 0 LeR 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0. 0 Right 0- 0 '� $3,670.00 $3,670.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, ¢ 1, 12•21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 7 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlona and tl�al approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 �w� �� WORKERS'LOMPENSArONDECLARATON: ' I here�y eflirm under penelry of perjury one of the following Oeclaretions: 1 ❑ I heve end will mainta�n a certificata ol consent to self-Insure for workers' crompenseilon, es provitled for by saclion 3700 of the Labor Code, �or Ihe peAortnence of the w tor which ihis pe�it is Issued. I �eva and will meintely workers' compensation insurance, as requiretl by sectlon 3700 of Ne labor Code, For the peAortnance of Ihe work for which Nis pertni[ is issuetl. My wo� �rs' c-o� pe/qg�atlo�n� I�n�suren carriar anC policy number re: / / Carner: ��'L�1.�-C. w�"i.' Policy Num6er: / S R�� —Q� (Th/s sectlon need not be compl etl i/ the permit is ve/ued a! one hundred dollars ($100) or /ess.) ❑ I cenify t�at in the peAortnance oi the work tor which i�is pertnit is issueQ I shall nat employ any person7n any manner so as to become sublect to the workers' compensatton faws ot CaAtoR�9rae�t B I sh �ln �5-ci'R�� the workars compen52tion prarisions M Sectil�nl, ll f the Labor Code. I shall bRhwith comptywit�thesa m�s' n . � , I 'l/) Applicant Signature: �,� O Date: 1%L �I U� j WARNING: FAILURE TO SECUPE WORKERS' COMPEN ATION COVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOYER TO CPIMINAL PENALTIES ANO GVIL FlNES UP TO ONE HUNDRED TIIOUSAND DOLLARE (5100.00�)� IN ADDfi1qJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SECTION 3lOfi OF THE LABOR CODE, IMEREST, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm thet I am Ilcensetl under provisio force end eflecL Lic. p� ConlrectoYs SignaWre: of Chapter 9(commencing with Sectlon 7000) of Divlslon 3 of the Bi cless a •-d-- Date: entl my Ilcense Is in full CONSTRUCTION LENDING AGENCV: ❑ I �ereby aHirtn ihat there is a construction lending agency tor !he peAortnance ol ihe work lor which this pertnit is issued. (Sec. 3097, Civil Code). Lenders Neme: Lenders Address: SigneWre: OWNER-BUILDER DECLARATIONS: Date: I hereby eMirtn that under penelry of perjury that I am E%EMPT FROM THE CONTHAC70R5 LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Business end Professions Code: Any ciry or counry wdiCh requires a pertnit m conSlrucl, alter, impmve, demolish, or repeir any structure, pnor ro its issuance, elso requir85 �he eppliwnt tOr such permit to file e sipned slatemem that he or she is licensetl pursuant to the pmvisions ot the Comrectors License Lew (Chapter 9(cammencing with Sedlon 7000) ol DlWsion 3 of the Busineu entl Professions Code) or that �e or she is exempt therefrom and ihe basls for the allegetl e:emption. Any violation ot Section 7031.5 by any epplicent for e pertnit sub�ects the epplicam to e clvll penelry of not more than tive hundretl tlollars (5500).): ❑ I, es owner of ihe properry, or my employees with wages es Ihelr sole compensatlon, WILL DO THE WORK, and tha structure is not intended or oMeretl lor sale (Sec. 7044, Business and Professlons Cotle: The Contractors License Law dces not apply to en owner of properry who builtls or improves thereon, antl who tloes such work himsetl or hersetl or lPrough his or her own employees, provided ihat such improvements ere not intended or aHeretl for sale. Ii, however, ihe bulltling or improvement is sold within one year oi complelion, ihe ownervbuilder will heve the burden ot proving ihat he or she tlid not build a improve for puryose of sele.). • � I, es owner o� ihe pmpetly, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTOHS to constmct tha proleCt (Sec. 7044, Bu4iness entl Professions Code: The conirectors License Lew does not apply to an owner ol property who bullds or Improves ihereon, and who conirecis lor such pro�ect with e con�redor(s) license pursuent to ihU Contractors License Laws.). ❑ I am e:empt under sec. Signature: Owner ID verified by tlnvefs license. ❑ Yes ❑ No Business antl Professions Code for �his reason: Verllication ol Owners�ip by (type oi dwument, i.e. - properry tax bill or tleed): Onvers License No. Da�e: Expires: DIVISION OF INDUS7RIAL SAFETY PERMI7 CER7IFICATION: ❑ I hereby certity thet no excavatlon five (5) or more teet in depth into which a person Is reqWred to descenq will be mede in connectlon with work euthodzed by this permit, and that no builtling sWcture, scettolding, falsework, or demolition or tlismanlling thareof, will be more ihan ihirry-six (36) fee� high. (Chap. 32, Grp 2, Ah 2, Sec. 341, Title 8, Celitomia P.dm�nistretive Code). � As owner-builder, I will not employ anyone to do work which wauld require a pertnit trom the Division ot Industnel Sefety, as notetl above, unless such person has e permil Io tlo such worK ��am the division. Signature: Date: Division of Intlustnal Safery Pertnit Number: CERTIFICATE OF COMPLIANCE AND AIJTHORIZA710N OF ENTRV: I cenity under penetly ol perjury Ihat I have reatl this epplication and state ihat Ihe Infortnetion given is correct I agree to comply with all stete lews and ciry ordinences relating to building consimctlon, end euthonze rep�esemetives ot the Ciy of Coste Mesa to enter upon ihe ebove-describetl property fof inspection purposes. I agree not to occupy or ellow occupency of eny buiiding authorized by this permit until final inspection. , QQpfj, INSPEC710NTYiE 1676 FIxeG System Final Fira Prevention 1266 Pool Spe Final 200 Final Ra-Raot 201 Finel BIxWRetaining Wall 202 203 Final Feciory Fire P�ace Final Sign 204 Final Demolition �g �� Z "� (l"� 40oE� INSPECTIONTYVE 20fi Final Mechanical 208 Final Plumbing 210 Final ElecMcal 212 220 Final Fira Prevention Final Planning Approvel 222 FInalSite 250 Final BuildinryOccupency PflOJECT pU0flE5S: 9 R 4 DENVER DR OWNEB'S NFME: GRALOW, FRANCES K aoosess: 989 DENVER DR ,E COSTA MESA,CA 1'AflCMIENGINEEfl: 7 5 1— 6 1 5 S aooxEss: 92626 flEG.NO.: uxiT: CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; B 055615 PLAN CHECK NO; 05301-91 S CONSTRUCTION TYPE; PERMIT TYPE: STR uxiT: PEPMITTEE: MANCEIESTER BUTLDERS ( 714 ) 760-7880 noosess: 14631 SAIL ST G.G, CA 9269 LICENSEO LONTflFCTOB UECLABATION: t �ereby atlirm IAai I am li nsetl unaer pmvisions ai C er 9(commencing wi�h Section 7000� ol Division 9 oi Ihe Business antl Pro�essions Coae, an0 m c nse i ull�orte anU cl. � c�rvuc.:05505 STRTELIC.:Jryq5459 `" B Da�e: � Z� / Signamre: _ — _ � ` � WOBKEPS' COMPENSAT ON DECNNR710N: I �ereby atiirm ihat I have a ilicate ol consent m sel4insure or a certificate af Workers' Compensalion Insuranc¢, or a cerlilied copY Ihereof (Seclion 38011. La�. ). ' POLICY NO.: E%P. DRTE: COMPRNY: � CenifieE coDY is �ereby fumished. ❑ CenifieA copy is filetl with �he city BuildinA Division. Dale: ApplicanC�- EXEMPTIONFBOMWOP6Efl5'fAMPEN5ATI0N0E TION �This ' ne nolDewmple[etli�tAe tisforo�hun etl�5100)urless). I ceriily tha� in I�e pedormance of the work f �ich IOis permil i 55 5 noi employ a erson in any man so as �o become sublecl to I�e Workers' Compe a�ion Law oi Califomia. Oate: � Z- SignaNre: � NOTICE: I�, alier maIy g ihis Ueclara�ion. you ShouM Uecome subject ��e Workers' Compensation pwvisions of the Labor Cod¢. y0u mu9 �Oh%wi�� tomply wi�h Su[� pmVi5ion5 Or I�iS p¢rmil Shall Ge deemeU revoketl. CONSTBUCTION LENDINC FGENCY: I here�y allirm Iha� Ihere is a cons�mction Ientling agenry �or �he pedarmance o� lhe work �or wAich Ihis oermil is issuetl (Section 3097. Civ. C)! IENUEB: i ADDflE55: OWNEP BUILOEfl OECIAflPTION: I hereby aflirm thal I am exempl Imm t�e Coniracmrs' Slate License Law for the following reason (Seclion 70.31.5 Business anE Professional Cotle: Any ciiy of counry wAich requires a Oermit [o consimct, alier, impmve, Aemolish, or repair any s�mclure. D�ior lo iis issuance, also requires IAe applicanl for such permit to �ile a 5igne0 5�a�emeni t�a� he/she is licensed pursuanl 10 Ihe O�ovisions ol Ihe Camracmrs' Siate License law (Chapter 9(commencing wit� Section 7000) af Oivision 3 of ihe Busineu antl PmIe55ion5 Coae) or I�ai he/she is exemp� Iherefmm and Ihe Uasis lor ihe aileged exemption.-Any viola�ion ol S¢clion 703L5 by any applicaN for a Oe�mi� suble��s Ihe apPlican� �o a civil penalty ol not more I�an �ive hundre0 dollars (5500�. I. as owner ol t�e O�oOenY or my employees with wages as their sole compensation, will tlo the woB, antl the ❑ stmcmre is nm inten0e0 or offeretl for sale (Section 70ad. Business an0 Professional Code: The Cantractars' State license Law tloes nol apply lo an owner oi a DroDenY who buil�s or im0�ove5 Ihereon, antl who do¢5 such work himseltlhers¢I/ or Ihmug� I his or her own employees. pmvi0ed Iha� such impmvements are noi intentled or otteretl �or sale. I�, however ihe building or impmvement is soltl wi�hin one year ol completion. �he owner will have ��e burden of pmving he/she di0 no� build or improve lor Ihe purpose o� sale�. I.as ownerollhe O�oDe�R am exclusively conlracting with licensed coniractorsto construcithe pmle�t(Section 70d4, Business ❑ antl Pmlessions Cotle. The Conlracrors' S[ate License Law tloes not aOPly m an owner oi properry who builds or impmves Uereon anU who comracls lor such D�ojec�s wilh a contracmqs)license pursuant m the CanVacmrs' Sta�e License Law),I am aware Ihat pmol ol ��eir Warker's Compensation insurance should be D�ovitled to me. � I am exempl untler Seclion: B. 8 P. C. lor Ihis reason: Date'. Owner Uo hereby cenily �hat I am aware ol antl un0erstantl Ihe reQuiremenis o� Calitornia Health and Safely CoOe Seclions 2550.5, 25533, and 2553a antl Iha� I or any luture builtling occupanl will/will nol (circle one) neetl b comply wit� saitl s�a�e codes and Ihe requiremwts �or a permit lor consimction or motlilication Imm Ihe Nir Oualily Managemen� Dis�ricl. ReSitleniial constmc�ion applications are exempt �mm Ihese pmvisions. Oate: NpDlicam'. I here0y cetlily �hal I have reaA Ihis application antl sta�e �hat the a e in rma �on is orrecl. I agree Somply with all city antl counry or0inances antl stale laws relaiing to building constm ' n an0 here auth ze es a�ives ai tti m emer upon above-men�ioned pmperty �or mspection purpose . � Dale: � Z' �z � Signaiure: � �_ �'�� . Driver's License or Sotial Secunly x: 164t�46 Whne—Bu'Jdlnq: Graen—Cotle Enlorcemen��, Canary—Applican�; Plnk—Revenue', Goldenmtl—Assessor PERM NO: B 05561 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTION : 200LF-6FT MAX HEIGHT CITY STANDARD BLOCK SQ FT; 200 CLAIM VALUE: 9,000.00 CALC—VALUE; 4,000.00 GROUP OCC; R-3 / COMMENTS• X • ��o *****it*it**itk�r***ititit***�r�r*�r**it*****�r�t�it*ie**it*�tit�r*�tit*it**�r�r�rit* * f.� Z O N I N GS ERTEHQAUCIKRSE M E N T S REQUIRED ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG --------- FRNT; FT IN REAR; FT IN FRNT; 27 FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE � PROV; PARCEL; 91808123 ZNE: R1 REF NO; � PLANNING N T'ES> 200 LF OF 6' HIGH BLOCK WALL CONSTRUCTED JUST INSIDE THE > PROPERTY LINE, iE 3E �F iF 1E 3F iE �E iE 3E 3E�f 3E iE iF iF �E if jE iE IF iF iE 3E If iE iE iE if iF iE iE iE iE iF iF iF 3F if iE iE if if if ik M iE af ik if k if if if 1E M IE jF iF iE �f if iF iE iE iE iF �E IE.�F 1E iF if iE iE �F if k �k D E V E L O P M E N T S E R V I C E S R E Q U I R E M E W T 5 ZONING APPROVED BY W(?�� DATE: I' � Z"1 � BUILDING APPROVED BY ; DATE: � APPLICATION ISSUED HY; � DATE; LL �.'� � 3EiFiE3EiEiEiEiEifiEiFiEiEiEiElE1EilIf1E1E�! iF�E1l�Eif�Fifif*�f 3Fif i! �E 3E jE iF iF 1E iF k iE iF iF 1E iE iE k 1E if iFif iE iF if if if iF 1E af ik 1E it �F 1F iE * if 3! iE iE iE it k iF iE if iE iF if if if iE it k ik if iF i! if iE 3k iP iF ik iF if i! iF iE jF ik iF iE iF!! �E �E i! IE iF LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63,00 ,50 ` SMIP/NON—RES PLAN 40.95 ' ISSUE FEE " BUILDING—DIV—> PERMIT ISSUE PLANrCHECK TOTAL PAID DUE TOTALS----> 63.50 0,00 90,95 109,95 104,45 ,00 1 REVENUE DIVISION TOTALS--> COLLECTED: 104.95 OVER/SHORT:� .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 63.00 .50 40,9� iE iF iF�k k iE 1F if iF iF iF �1ElF iF jf if iF iF iF iF if iF �t ik if 1f iF if iF IE iF if if ik it if iE if 1FlE iE k iE if if if ik if if iE 1t k i! iE iE ik iE k iF iE iE if iE �F iF iF iF k iP iF if 1f iE iF if iE iE iF iE I N D I V I D U A L ` F E E B R E A K D�O'W N� TYPE QTY D E S C R I P T I O N UNIT COST TOTAi COST SFR 200 RES—CONCRETE BLOCK WALL / FT, 20.00 4,000.00 END-.OF FEES SUTI'V C'-I V� �Q� l�ikYL" MAY B�'�?EQUIRED � CONSTR�:TION AND PLANNING � POOISPA Ar`�OVALS Permit# Date I�spector qppROVALS Permit# Date Inspector 1. Temporary'Electrical ServicA or Pole 't 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. �� 53. Steel Reinforcement 3r Elect{fcat Condu7t Utility-Uhdrgrnd. 54. Forms �� 4. Electrical ConduiE�Undrgrnd� � 55. Electrical Bonding a, 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gcnd. . � 57. APPROVA� TO COVER-GUNITE � 7. Footings ' �/�L71�`�� 58. Electrical CondUit�Undrgrnd. . � 8. Foandation '. � L 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-UndYgrnd. �-. � . 60. Backwash Lines, P�Trap, O Undrgmd. " 70. Structurai Fioor $ystem� .-� i` - 61. APPROVA� TO DECK 1 t. Property Sewer L�ne & House Connection 62. Backwash & ReceptorFinal ' 12. Sewer Cap � 63. Heater & Vent-final � _ � 13. floof Drains � . 64. Plum6ing System � Final 14. Rough Plumbing �� 65. Electrical-Final � _ 75. Fough Electrical-Conduif � 66. Solar System-Final 16. Rough Electric W��ng ' 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PIASTERING 18. Rough Electrical�T Bar Ceiling. 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory FiGeplace ' f " • APPROVALS Permit # 21. DuCt's, in Structure �70. Underground3Hydro 22. Ducts, Ventilating � - 77. Produci Piping O'Gas � Oil 23. Gas Pipe-Rough & Test � �, . 72. Underground Flush" . _ 24. Roof Framing ' ' 73. �Undergrnd. Storage Tank Q Gas ❑ Oil , 25. Roof Sheathing . - 74, Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat -' ? ' ` 75. �Dry Chemical ' 27. Frameaod Flashing .. ;, ,, 76. Dry Standpipe � 28. Lathing & Siding �. •' 77. FIXED SYSTEM FINAL' 29. Insulation . � � ' � � , 78.>FIRE PREV. FINAL � � 30. Drywall Nailing A � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coet . `� 79. FINAL IN$PECTION - 32. Electrical Power Meter:Final _- ., 80. F000 CERTIFICATE ISSUED 33. Final Electric ' ' . � ' Notes: �' �34. Finai Heating & A�r�Conditioningc �^ n � � �� n2 �.� � :� 35. Final Gas Pipe�Test . '- - _ . • . � ` . ' , � . � 36. Hood or'Canopy . . �: r� � tt, 37. Final Factory Pireplace � � ' � - .. 38. Final Plumbing ' - � . • ' 39. Water Service�Final •• �* ` i 40. Gas Service-Pinal . � ' � . • 41. Solar pomestic-Final •� � ' . 42. Backflow�Preventer' " 43. Backflow Irriyation � � . � , 44. Landscape Irripation System - �. . • 45. Sound Atteauation . . - � ' r 46. Handicap Regulations � , ` 47. FINAISTRUCTURE�& BUILDING ,�j �,[,Q'q �Q� • - �-L[.D C/KJ 48. FINAIPLANNING• � � � - � i� 49. Electric Release to Edison _ - . � � � �i 50. Gas Release to Scwtfiem California Gas Co ` 51. CEflTIPICATE OF OCCUPANCY No. Date ° TYPICAL 6�� CONCRETE BLOCK FENCE Cement Coping Optional — Channel Block Witli 1-3/8� Horizantal Top of all Fences For Fences 5' or Less Vert. Bars 3/8"yS at 4' -0" O.C. For Fences Higher Than 5' Vert. Bars 3/8"� at 32" O.C. Fill Cells Solid With Grout Where Steel Occurs Reinforcing Steel Shall Conform to Sec.A-15-39 A.S.7,M. All Steel to be Lapped 24" or to Code NATURALGRADE TWO 3/B"55 BARS CONTINUOUS70P & BOTTOM HOR7z.S7EEL MUST BE TIED IN PLACE AT TIME OF TRENCH INSPECTION. � � w � a :� o � N A D . k�-�—W'IDTH � SEE CHG 9 BE�OW D I �. FOOTING REQUIREMENTS CHART GENERAL- NOTES MORTAR: pne purt Plostic Cement, and Three Parts Sand GROUT; One Purt Cement Three and One Holf Parts S�and COPING: One Part Cement, Three Parts Sand CONCRETE: We11 Mixed 1:2- I/2: 3- I/2 Max. of 7-I/2 Gallons oi 1Nater Per Sack of Cement GROUT MAV BE POURED FROM THE TOP OF THE FENCE IN CEIIS WHERE STEEL OCCURS. CELLS AND AREAS OF HORIZON7A1 REIN- FOpCEMENT SHALL BE CLEAR, CLEAN & FqEE OF ALL MOR7AR OEBRIS, ETC. H UF E4RTHTCOTH V3 THE HEIGTH OF FENCE '�LOW BOTTOM OF FOGTWG. SCALE: I/2°= I' WIOTH . . . . . . . . . . . . . . .14'� . . . . . . . . 14�� . . . 12��_... . 12�� THICKNESS . . . . . . 10�� . . . . . . . . . . .10° . . . . . . . .'. . . 6��. 8., DEPTH OF EARTHTOOTH . . . 24° . . . 20" . . . . . . 16". . . . 12" SPACING OF EARTHTOOTH. . 12� . . . . . . . _ . . .14� . . . . . 16�. . , . . l6� , City of Buildin Costa Mesa, g Departmeni " ' . , . -• ' l_�V15ED NOK 82 California r � �R�� ADDITlO"!S, Rkl�?0�` � � i _`)RRECTIOPJS SNALC BE AP?� , � �.:( +„� , ! '..:.....^_- �EPARTi��EiJT � '-� —_---. ... .:_. .. . _�_.� .._� ,,; `�ll 33r� �`-- �. �� . „ �,: cnv oF �o ��u�' /� z��.cc� "�; PIANNtNG '�FSA / 1 Q�BJFtt rp DEP7 lJ � DLU6i� p7, qE0 °�a�rca of �ATE--�7 i/ � "1_ N.W'NtNO `.""- . � N� 1 ! � NE8IDENCE � MC �j ps �� y.'9 n C FR �� L9 4 ��; ��✓' i:� � r-a t � . Ciiy of Costa �,•?�S3 F.�il� irig Dept. i ; � EY ��?-A _ Dr+Tc `� 21 1� `� � 7t�c �;E PU,r.;:; ?dUST G�E 0� �`:` a.i? ALl i iMES N�AKE i'80 C%iF,l�Gti, 1"e�TuU'JI '_g '�=',^-,QJ� O�F DEPT. 5 � � i'riE IS`.iUP.NCE CR �:4P:" ." -��9'A�7 :iR A4'PAOVAL OF -1 AI2c 4ND �P�C':=tC4\7 .'., ' . _ CONSTP.UFD'i0 EiE A ,r:;�; , roF, o= n�� ",��r� . �-:o�.xriont oF nNv o� r � � � � 7�-_ ':SL.PING70�'11'E � ih �AR t ��: Lri v 51OiQS OF THIS � �- ;. RE � - . . F.: IVONK OR USE ..,.i_.,�..�.. :! .. � -v: � :"„�o: : : � c: o;� ��nNs �Na � , �.=_r��l,;:F.o.rs sr��_ i.c � , . , � : = o<<�ewt �-cui.�HEFE.�.:�IEFF.'_�l,u.,,C...- ,.'!i�i4�NOF�I;i:nF5W I St.iO PLAidS kP:E) 2:F[C;Ftf'.`.it0; �.'��iE� FPOC' FRE'JEi�lTi�JB y �a / r^' 1�:;idpl��•� OK^n�iT7:�.V'3 8; !'•1:1 r:p:e.:i ^i' THE(?cUi1�cP 44[N Otif !ft Vi�l.4' i��'d OF i Ii+S :;ODE Ofi GF AhM Ol'F'r_n �RD�tiAtvGE QF � 7r:E:;fcY. ( R�Q10[MCE � �� `l8`� [�en .Or rq£Er . � � StetB Of CALIFORNIA County of ORANGE � On FEBRUARY 14, 199�efore me, LINDA ANDRE' DATE NRME, TRIE OF OFFICEF - E G.,'JANE DOE, NOTARY PUBLIC' personally appeared �TIA POwERs** NAME(5) OF SIGNER�S) ❑ personally known to me - OR -� proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and ac- knowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their OFFICIAL NOTARV SEAL signature(s) on the instrument the person(s), ; �O UNDA ANDRE' - NotaryPudie—Calffomia ortheentityuponbehalfofwhichtheperson(s) ORANGECOUNTV acted, executed the instrument. MY Comm. Eapires AUG 26,1994 �n/itness my hand and official seal. ATTENTION NOTARY: Alihough the THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED AT RIGHT: . NOTARY / CAPACITY CLAIMED BY SIGNER � INDIVIDUAL(S) ❑ CORPORATE OFFICER(S) TITLE�S) ❑ PARTNER(S) ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ SUBSCRIBING WITNESS ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(5) OR ENTITY�IES) below is OPTIONAL, it could preven[ iraudulent atlachment of this ce�ifiCate to unauthorizetl document. Title or Type of Document P�TY WALL AGREEMENT Number of Pages 1 Date of Document 2/12/92 Signer(s) Other Than Named Above NARLAND JOHNSON O 1991 NATIONAL NOTARV ASSOCIATION • 823fi Remmet Ave. • P.O. BOK 718a • Camga Park. CA GENERALACKNOWLEDGMENT State of �.+- ��—,�r/� County of L�� r�i L!,!a �� } SS. t OffICIAL $EAL NILO J.C. MIRANDA � NO�RRY PUBUGCALIFOANIA b s PRINCIPAL OFFICE IN LO$ ANGELE$ COUNtt My Commiuion EKD�� ADril 26. 199a On this the 12 day of ��+��--'-� 19 �, before me, ��1 �'-� -, -� • M 1rz�J� , the undersigned Notary Public, perso�eared NA21-I�/`1�> --�-� . � ersonally known to me 8' proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) IS subscribed to the within instr� ent, and acknow ed that �"}'� executed it. WITNESS InyV�apd and official se .(� ATTENTION NOTqqy: qlthough Ihe information requested below is OPTIONAL,it cou10 pravenl IrauAulent attachment of Ihis certiticate to� �an�o[her Aocument. THIS CERTIFICATE Title or Type of Document �''�`-�7""� �NP�-1-. !� 2.=�FnA F,�� ' MUST BE ATTACHED Number o( Pages I Date of Document f" ��' —�2 TO THE DOCUMENT DESCRIBED AT RIGHT: Signer(s) Other Than Named Above �� CF ]488 (BI89) 'l1201t2 l PARTY WALL AGREEMENT � � THIS AGREEMENT, made and entered into this �� r-' P L;� /U :�.-, , , by and between � rI G bl�r> 50� hereinafter referred to as "LANDOWNER;' and �! �"�� L� S hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between _ 3 d 3� /�.a-/> %S S� , � (Address of Adjoining Praperties) ��/� f%E�i�i�2i'L. � �. day of in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LAN WNER A y /- J \� A ��` Signa ure) /!'r��i�-nC Jmy nS o�1 Name (Typed or Printed) ADJACENT PROPERTY OWNER � � I I, OVV � (Signature) - .�- I �-�- ��. Name (Typed or Printed) .�o��' .ls"frGh � �b�'� �t'itnVe/r �� • _ (Address) (Address) ' OFfICIAI SEAL NILO J.C. MIRANDA NOTARY PUBLIGCAL'fORNlS , `m PRINCIPAL OFFICE IN ,- r4 ��,�' ' lOS APiCEIES COUNN hty Commission f.zpi�ea ADdI 26. 19)A ON RE�UIRED GENERAL ACKNOWLEDGMENT State of �� ) } SS. Counry oi �'`� ��'�' ) OFFICIAL SEAL NILO J.C. MIRANDA � NOiARY PUBUGCAlIFOANIA m PRINCIPpL OFFICE IN �f M LOS ANCELES COUNIY y Commission ExDhes AWiI 26. 1990 On this the ��' day of ��'''U�2"i 19 �2 , before me, �� L• ��P�i� � the undersigned Notary Public, personally appe�red nlas.�-v,dcv� _�-}vy-�n� er onally known to me ,�proved to me on the basis of satisfactory evidence to be the erson(s) whose name(s) �� subscribed to the within in r ment, and acknowl ged that -�'� executed it. WITNES m pand and official se I. � ATTENTION NOTARY: Atlhough the inlormation requested below is OPTIONAL, it coultl Orevenl Ireutlulen�anachment of this certilicate lo another document. THIS CERTIFICATE Title or Type of Document �"`� �"�-'L ��tPl�-cF�vtl.�1� MUST BE ATTACHED Number oi Pages � Date of Document �� " ��2 TO THE DOCUMENT DESCRIBED AT RIGHT: Signer(s) Other Than Named Above ��-` � �� ' �r �.sa teres� nm izz A s PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this , by and between r.t9-� �� )o r2-S hereinafter referred to as "LANDOWNER;' and �L/�2�14�i [' V t9�/� �'I�S on- hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line 7 between _,�35? �� 6 ST (Address of Adjaining day of in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOWNER �W�� (si9�at��e> K�r,� ��v�zs Name (Typed or Printed) �18y .��., v�r�r . (Address) OFFICIAI, SEAL "�� NAN(Y R. HIRSH}�1�d m•. NOTMYPUDLIC tJ,LI:C?�\:; �' OHANGE COUNTI• VI(�, � MyCammExoiresAonzz,iS:c � ��'v'va- , 190&dfi OWNER ��]<r„ � �oh.�sn� Name (Typed or Printed) s'G'�b�f _ Address) NOTARIZATION REQUIRED � , „ OFFICIAL SEAL ' NILO J.C. MIRANDA f�� Q NOiARYPf1BLIGCALIFORNIA PRINCIPAL OFFICE IN LOS ANCELES COUNTY My Cammission Expires April 26, 199G GENERAL ACKNOWLEDGMENT State of _ County of � ) On this the � U/� day of } SS. 1 ' 1�,p '� �/.i.'//l/l! N-i_...'! .� _. i -� � i � � 1 , � . �� ` � l�� . � . \ ��j'1 � 1 , ��j� . '., i 1 � � � �� 1��-��i�/'!i�'J'J 1�'!s � J�^✓_•�.i'J/J 19 �� before me, -P,Q � n e. the undersigned Notary Publi`�personally peared N o �`, o i��s� �c� uJ c� ❑ rsonally known to me proved to me on the basis of satisfactory�ev ence to be the person� whose name� � subscribed to the within instrument, and acknowledged that executed it. WITNESS mv hand axd officiai seal. /� n ATTENTION NOTAAY: Al�hough Ihe intormation requ85ted belaw is OPTIONAL, il m p THIS CERTIFICATE Title orType of Document �� MUST BE AT7ACHED Number of Pages � TO THE DOCUMENT � DESCRIBED AT RIGHT: Signer(s) Other Than Named Above CF �198 (BI88) fwudulent Document Nis certiLceta t0 arrother Oxument. ]120142 � PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this ninth day of Februe.ry. 1992 , by and between hereinafter referred to as "LANDOWNER;' and Norlo Matsukawa Mark Powers hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between 980 Denver Drive & (Address of Adjoining Properties) 984 Denver Drive in the City of Cqsta Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. 7he party wall shall be permitted to encroach IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOWNER , ignatu Norio Matsukawa Name (Typed or PriMed) 980 Denver Drive (Address) �Fn::sy m ADJACENT PROPERTY�/ WNER / � �/��,� � �[ �� .�� —��L�/`n"'�,. (3icjnature) �Q��Q�ii�it� Name (Typed or Printed) �I ll `I �i�iUll/� L// 11/Pl (Address) NOTARIZATION REQUIRED � GENERAL ACKNOWLEDGMENT State ot �� I-t �i l I 1' l� County of �� OFFlCIAL SEAI CHERYL A, PEDONE �s� "a NOiARY PUBLIGCALIfORN1A PRIRCIPnL OFPICE IN ` � OnqiYGE COUNfl My Commission Er.Dires May 23. I994 On this the ��L' day of SS. � the undersigned Notary Pi � � _ . _ 79 �before me, ❑ personelly known to me �roved to me on the basis of satisfactory�ev'dence to be the person(�j whose name(� subscribed to the within instrument, and acknowledged that executed it. 'WITNESS mYhand an9 ofticial seal. . /1 ATTENTION NOTARY: Allhough the information requestetl below is OPTIONAL, It co d D�event raudulent atlechm nt oi t 3certltic%a� lo e�rropthe �r }ocumen�. THIS CERTIFICATE Title or Type of Document r � 1 "� i C C �� MUST BE ATTACHED Number of Pages _� Dat oi Document a �� TO THE DOCUMENT DESCRIBED AT RIGHT: Signer(s) Other Than Named Above �e,a? �eres� � • PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this �� day of ��_��"1..� , by and between _��Ir� hereinafter referred to as "LANDOWNER;' and _�.Q��(��LC��'�" _ \ hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOWNER (Signe�ure�o� �flT� �4- �o u� �s Name (Typed or Printed) �ga �,, �� (Add�e55) .. OFFICIAI. Srn � "� � NAN(Y R. HIR�!!;�'tii; `� t" NOTMYP1,3l1C.Gun;�;1 • CRu+GE C�I;.:il' _ kYComn.EcpcesRpr322.19Sa � 1908-06 ADJACENT PROPERTY OWNER ti✓', � (Signature) � i✓�R(� M��v�� Name (Typed or Printed) �a �� (Address) NOTARIZATION REQUIRED S7ATE OF CALIFO iA �ss COUNN OF �j�l�Gj��i � i7 On ��1 � j _� Oeb�c mc. //L��i .n _ �. _ personally ` perso�ally—Tinowrt'to-me (or provc0 to mo on Ine basis ol saiislactory ev�dence) Io ba the person(3) w�ose name(� is/a�e suDscribea Io the wilnin instrument a�d acknowleCged to me i�ai �e/shWlhey exe[uted I�e same in his/t�eNlRe;r-autho��zeC capacily(ie�, antl Ihat by Itis/RerRhtir 5ignaWrc(yl on Ihe in5lNment Ihe person(� atted, executed Ihe instrument. WITNESS my �and and oHicial scal. / Signaiurer . � i � person(i{ or Ihe entiry upon behall ol whic� Ihe . , ., • . LINDA B. LAYTON �,� ..� � Nprgry RE�e•CtQ0Ir:1 • �'� ^. ORANG"e CWHfY '(:-s � Fj�, MY CammLsska EP. Nov. 6� 1544 (Tnrs area lo� orocial nolana� seap . , � PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this ��=�� day of �'�Ci�1�. LLY �l�_9.�_ , by and between M,4R,IL GOWcR� hereinafter referred to as "LANDOWNER;' and �+�E�`�l��`�J-1_i�. hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between �18�-t b�UcQ,�2P . ,6•� �183 P.dnlL�_21�lQ�iv�, (Address of Adjoining Properties) in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOWNER /�D �� (Signature) K�Ti� �o�__�s Name (Typed or PriMed) • � � , - � - - �r,. i / ., . •� � �Y_MP� �`J�M�fi_ON, �12. Name (Typed or Printed) ��1J�r a►� . �� o � �� . - (Address) � (Address) ��: ��a�✓ OFFICIAI.SEAL i . NA!!(YR.If;nSHh1AN NOTARIZATION REQUIRED � - nor,wvvuauc.c:,��c�n!• � � 0"MNGE C:A:YIY M1H Comm. E>.pies f�ri 2i. .;9C 190646 State of CALIFORNIA � County of ORANGE On FEBRUARY 14, 19�fore me, LINDA ANDRE' DATE NFME. TITLE OF OFFlCER - E.G.,'JANE DOE, NOTqRY PUBUC' personally appeared �TIA POWERS** NAME�S) OF $IGNER�S� ❑ personally known to me - OR -� proved to me on the basis of satisiactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and ac- knowledged to me that he/she/they executed the same in his/her/their authorized �w.r�s� capacity(ies), and that by his/her/their '�� OFFICIAL NOTAqv SEp� � signature(s) on the instrument the person(s), ;�=o UNDAANDRE' � ortheentityuponbehalfofwhichtheperson(s) �.-.�,� NotarypuWic—Califania acted, executed the instrument. ORANGECOUNTY naycomm. Exp�es auc 2e,��4 Witness my hand and official seal. ATTENTION NOTARV: Although the � CAPACITY CLAIMED BY SIGNER � INDIVIDUAL(S) ❑ CORPORATE OFFICER(S) 71TLE�S) ❑ PARTNER(S) ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ SUBSCRIBING WITNESS ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON�S) OR ENTITV�1ES) balow is OPTIONAL, it coultl preveni fraudulent attachment of �his certificate to unauthmized document. � THIS CERTIFICATE Title or Type of Document PARTY WALL AGREEMENT MUST BE ATTACHED TO THE DOCUMENT Number of Pages 1 Date of Document 2/ 10/92 � DESCRIBED AT RIGHT: Signer(s) Other Than Named Above RAYMOND G. SIMPSON JR 01991 NATIONAL NOTARV ASSOCIATION • 8236 Remme� Ave. • P.O. Bov ]1 B4 • Canoga Park, CA 9130<�]18A STaTE OF C� couNn oF On 2-' / Q-�.�— Oc�o�c mc. person�lly jss r�- pci5o�ally knOwn o mC (or proved �0 mo on Iho basis ol Sali5l�ciory eviOCnce) IO bo IhC person(6) wA05C ndme(F) i5/dtCSuDSCriOetl Io I�e wilhin instrument and acknowledgeC lo me Inal helsHeAheyeaecute0 �ne same in nis/t�urJipeir autnorizeC capaciry(ies{, and that �y his/herAheir signature(aj on Ine ins�mment Ine person(s) br Ine eniiry upon Dehall ol w�ich Ihe person(�) acled, exetuted the instrumem. p�� S� ��''" LINDA B. LAYTON WITNESS my hand and oNicial sea. ?�u< �� C�� OfUNGE COU11iY Signawre � Q, � .�, N/ �n E4 Nov. 0. tn91 i (Tn�s area �o� on¢ial nolanal zeal) PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this -T�NTF{ day of _F�r�uaR _ i�z, by and between �T�,LcYMO� �. 5{N�SG� ��• hereinafter referred to as "LANDOWNER," and NI�K.�DW_�� hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between e►A,10 L�Vc (Address ot Adjoining ', D2. in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book __ , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WHEREOF, the parties have ent�red into this Agreement the day and year first above written. LAND NER � - _ _� - � �9 �� - - - - . —R�YN_0� G, l►,tp�oM+�Y, Name (Typetl or Printed) R6s P�vc.�aub,4u�_, cab7X M�4�.C�►. (Address) . ., " 1906d6 ADJACENT PROPERTY OWNER �a� �� (Signature) M-tT / 1�' �D�U E�'S Name (Typed or Printed) �8U � ��,- �r - (Address) NOTARIZATION REQUIRED Aoplicant to till in a11 soaces except those witnin heavy boraer Iines antl sign all aooropriate tleclantions. :I Y OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO_ _ TRACT NO. LOT NO. uNiT Nn� �jectAddress�•5�i4 DPnvPr Dr;ve nupi�canrs n�a%t�ny nddress , 324 South Earlham Owner'sName �• KltSy �YOSCO Phone 4�%=937� Addreu 29 �'1�rninq Glory, Irvine, CA 92715 Arch/Eng. Licenu No. Address Convactor'sNam Fl li0 RObf ain ananouane � 7-4 �$ Adtlress (mailin9l 324 South Earlham � Ciry,License No. a'J9� 5 LICENSED CONTRACTOR DECLARATION I nereby a(firm [hat 1 am IicenreU untler provisions of Charter 9(commencin9 with section �000) of Oivision 3 of the Business antl Protessions Cotle, antl my license is in full force antl eitect. LJcense Clazs — - License Np. 465344 Date Nnv�-7 _ 19$�ature WORKERS' COMVENSATION CLARATION 1 hereDy atfirm that' I have a certifiwte ot mnsent ro selbinsure or a certitiwte � Workets' Compensation InSurante, Or a certlfletl cOPy the�eof (Sectlon 00, Lab. CJ ,.oi;�Y No. 571785-86 Company Stdte Ca[mensation Certifietl copy I5 hereby /urnizhetl. IIISUT7I1 2�lIl�-_( Cert�i�fietl coqy is' fAl�tl' with the city Builtlinq Dlvision. ��Iy �� oace—lYQ�L.—L�IY�� noci�canc.Tr'iii1PC H_ F.1� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be complete0 it ihe permit I5 for one huntlretl (5300) or I¢zsj. I certity [Fat in the Performance o/ lhe wotk to� which this pe�m�t i5 issuetl, I Shall not employ any pe�son In any manner So as to become subjett to the Workers' Compensation Laws ot CalifoJ iy a. _. �, /@QQ.^f�F�,G Jt Date SignalurPyFJ�F'�.27JTJ�ts3.CL�=rj� NOTICE: It, atter making this tleclafi6on, you shoultl become subject to the Workers' ComOensation provlsions of the Labor Code, you must forthwith comDlY wi[h such p�ovi5ions or thi5 permit shall b¢ tleemetl �evoketl. CONSTRUCTION LENDING AGENCV 1 hereby atfirm that there i5 a ConztruttiOn lentling agency tor the perto�mance ot lne work for which thls permit is issuetl (Section 309] Civ. C.) Ltntler's Name Lentler'S Atl��ess OWNER BUILDEf2 DECLARATION � I hereby aftirm that I-am exempt from the Contractor's License Law im the following reazon (Settion.]031.5 Businessantl Professional Cotle: Any tlty or county whith require5 a permit to con5truct, alte�, improve, tlem011sh o� �epair any seructure, prior_ta its issuance, also requires the applicant for such permit to (ile a signed Statement that he/she Is IicenSetl pursuant to the p�ovisions o( the Contractor's LiCenSe law (ChaO�er 9(commencing witn Section 7000) ot Division 3 ot the Bu5ine55 antl Profe55ions Cotle) ot that he/She I5 exemOt `ereftom antl the basis for Ihe alleqetl ezemption. Any violation ot $ection 31.5 by any applicant t0� a permit subjects the ap0��ant to a civil ialty of not mo�e than five huntl�etl tlollars ($500). J I, as owner ot ttie prop¢r�y or my empioyees witn waqes as thelr soie compensation, will tlo the work, and the struciuro Is not intentletl or ofteretl ior sale (Section ]044, Buziness antl Professional Cotle: The Contractor's License Law tloes not apply to an owner ot a proper[y who builtls or impioves thereon, antl who aoes sucn work nimself/herself or through his or her own emoloyees, provitlea that such improvements are not intentlea or offerea for sdl¢. If, however, the builtling or Imp�ovement I5 soltl within one year of com- pletioq tne owner will nave the burtlen of proving he/she tlitl mt builtl or im- prove for the pur0ose of sale). � ❑ I, as owner of [he property, am exclu5ively mn[racting with lic¢n5etl con- cractorsto construct tne project (Section �044, Business antl Professions Gotle: The Contractor's �icense Law does not apply fo an owner ot Oroperty who builtls or imoroves thereon, ana who contracts for such orojects wltn a con- tractor(s) �icense pursuant to [he Contractor's Llcense Law). I am aware that proof ot their Worke�'s Compensation insurance shoultl be provitletl to me. ❑ I am exempl untle� Section B. & R C. for thi5 rea5on Date Owner _ I nereby certify that I have reaa tnis in(ormation is mrrecL I agree to comF antl state laws relating to builtlinq con sentatives of this ciry to enter u oi inspection pu ases. /�� $ignatu�e Drivers' ense or 55 � � CMF 0865-46, rev. 10/84 al1 th� 1 state that the above antl county ortlinances ereby authorize repre- �.ntionetl orooertv for TVPE OFCONSTRUCTION LJ NEW LJ'ADD LnI ALTERATION LJ REPAIR '❑ CONVERSION ❑ DEMOLISH ❑ OTHER Re-roof 2XlSt. HCIRE DESCRIPTION OF WORK/USE OF BLDG. RP—rrrif PXl St _ H('fflP wi tY a Built—U — TVPEOFPERMIT GRADING FOUNDATION STRUCTVRAL ' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER ' PROJECT DESCRIPTION SQ. FT. SQ• t• OCCUPANCV CONSTRUCTION TVPE re-roof VALUATIONS1,SOO.00 ZONE GRA�ING CU. VDS. ACRES Remarki: Backflow Preventer � � Backflow Irrigation Bathtubs Clarifiers Diihwasher Drinking Fountains Floor Drains Floor Sinks GasService �U[IE[5 (itchen Sink Lavatories '—Trap Roof Drains Reinspec[ion Fea $15 Boiler Duct- UnderGround Duct - Structural Duc[ - Ventilating Exhaust System ❑ Multiple FirepVFact BIt. ICBO # Heating System & Ducting . ❑0.100,000 BTU 0100,000 Reinspec[ion Fee I $15 Bulltling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assassor PLUMBING $hOW¢f5 Service Sink Sewer Cap Sewer Connection Solar Collectors $olar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service - Auto�Wash Laundry Trays Issue Fee FEES i $ 3 A.P. $`- S Main Building: E T Front A Fear ' C Right K Left S Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher - Dryers ❑Gas DElec�� Fan F.A.U. Fixtures Device Boxes Outlets Switches Gar6age Dispoul Generaror �0-5 KW C 6866 11/p7/B6 `�: ZOne ' Accessory Building: Parking Req./Provided ELECTRICAL Trans(ormer ❑ 15-50 KW ❑ 50+KW . Meter ❑up to t00amps Meter ❑wer 100 amps Sub Panel Motors DO-7 HP 01Yh - 8 Inc.Solar �9-15 HP �16-15+ Microwave Pole Ligh[ Range Standing Sections 5-15 KW Trash Compactor Reinspection Fee $15 luue Fee IANICAL � FEES Hoodor Typel ❑ DEVELOPMENTSERVICESREQUIREMENTS: Canopy Type I I ❑ - Zoning Approved By Building Approved By �Ly _ Refrigeration System ' ❑aioo,000sTu ❑ioo,000 System Repair/Alteration Fire Dampers Registers Issue Fee $ 3 BUI[iSINi`i PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK '25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% �$ 15.50 TL Z O N I N G R E Q M T S FEES $ 3 OF FEES S� — SMIP $ — PERMIT� ISSUANCE -$ � ENERG� P.C. $ GRADING $ _ MICROFILM $ � — TOTAL FEE $ � CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qPPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings � 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � 12. Sewer Cap 63. Heater & Vent-Final ' 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 75. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT - 31. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy . 37. Final Factory Fireplace � 38. Final Plumbing 39. Water Service-Final , - 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations � '� 47. FINAL STRUCTURE & BUILDING •� � .� 48. Special Requirements Completed . i' i 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY �/ No. Date � 234?3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX Dt] COSTA MHHA. CALIFORNIA For Appllcant to FIII In Completely TYPE OR PRINT BUILDING Cj �J [ n � Y _ AODRE58 / O /� COSTA MESA. CALIFORNIA nwNvw.1'/a/.� Al.i/„��. .Sa�nwnc—f'l�ne� I ARCHITECT r ,. _ / TEL. SfATE TEL. LIC. NO. % � N . .�J' SIZE �$ .i�U I No. OF LOT NO� USE OF EXISTING BLDG. 6ETBACK LIN[ FROM ,l ' CENTEROP8TR6R � V- REAR SIDEYAftDI LERT O RI(3HT DESCRIPTION OF WORK IN6 NO.OP ROOM9 IOR WALL_ I ROOP Si.voC� — %_ini . �✓�>L� N^ J ''� G - — f'/,<nl 3' 1 HEPEBY ACKNOWLEDO6 THAT 1 NAVQ pHAD TH�9 APPLICATION �ND 6TAT8 THAT TH! ABOVB �e CORRHCT AND �OftfiB TO COM. PLY WITH ALL CITY OpDINANC69 AND BTATH L/�W6 q60ULATING BIIILDINO CONSTRUCTION. SIGNATURE OP c� PERMIttEF ��-ni( � /�///T�Z\ , AUTHORIZHD AOiNT r�� RECEIVED JAN 2 7 �1965 FINANCE DEPT. GTY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only BUILDIN6 �p. / ��.•,.I� �� ADDRESB O V ILLV FIRE � � � � nur rvov ronno ZONING zo no. or uee ov� _ y,f � rune am�o� �u+ �fia�� s eeaceimon � A.P.�a.��r— iLi— i NOTE: NO EAVE OVERHANO SHALL BE LE89 THAN 90' TO SIDE 8 REAR P. L. EAVES ALLOWED (U. B. C. REOUIREMENT YARD8APPROVED YAFDSAPPROVED MAIN BUILDINO ACCESSORV BUILDING tOM C/L HTREE )NT FT. FT. fl �,�a 6 � 6 �. REAR � I DISTANCE BET MAIN BLDGB. VAR. �i TH8 AMOUNT 9HC PUPPO6H Or 68' VALUATION s �j/v�7 BET. MAIN C ACCE85. BL�G4. DATE APPROVED OYTE I�� J UNOBP VALUATION �e POR TH8 IBXINO A PEHMIT FE! ONLY.